Ese ufite isukari nyinshi mu nkari zawe? (Glycosuria)

Ese wigeze utekereza ko inkari zawe, ni ukuvuga inkari, zishobora kukwereka ibibazo bimwe na bimwe mu mubiri wawe? Yego, ni ukuri. Hari igihe, tutabizi, habaho impinduka zitandukanye mu mubiri wacu. Kimwe muri ibyo ni urugero rw'isukari, ni ukuvuga urugero rwa glucose, mu nkari, ruri hejuru y'ibisanzwe. Ibi nibyo mu buvuzi twita glycosuria . Ntugatinye cyane iyo wumvise iri zina. Uyu munsi, tuzaganira kuri byose mu buryo bworoshye ushobora gusobanukirwa.

Glucosuria ni iki?

Muri make, glukosuriya ni igihe ufite isukari nyinshi (glucose) mu nkari yawe kurusha uko bisanzwe. Ni ibisanzwe kugira isukari nke mu nkari zawe. Ariko, niba ikizamini cy'inkari kigaragaza ko urugero rw'isukari ruri hejuru ya miligarama 0.25 kuri mililitiro (0.25 mg/ml), icyo gihe ni indwara yitwa glukosuriya.

Hari igihe ibi bishobora kuba ikimenyetso cy'indwara yitwa hyperglycemia , ari yo isukari nyinshi mu maraso. Ariko, ishobora no kugaragara ku bantu bafite isukari isanzwe cyangwa nkeya mu maraso. Urugero, niba impyiko zawe zidasukura imyanda neza, ushobora kurwara glycosuria.

Ni ibihe bimenyetso bya glycosuria?

Si buri wese ufite ibimenyetso bigaragara by'iyi ndwara. Ushobora kuba uyifite imyaka myinshi kandi utabizi. Ariko, uko igihe kigenda gihita, iyo itavuwe, ibi bikurikira bishobora kubaho:

Ibimenyetso bisanzwe

• Inyota cyangwa inzara ikabije: Ese wumva ufite inyota igihe cyose? Ese wumva udahabwa amazi ahagije uko waba unywa kose? Cyangwa niba ushonje, kandi ukumva ushonje nyuma yo kurya, ibyo nabyo bishobora kuba ikimenyetso cy'iyi ndwara.
• Kubura amazi mu mubiri: Umubiri ushobora gutakaza amazi menshi cyane no kubura amazi mu mubiri.
• Kwihagarika inkari kenshi kurusha uko bisanzwe: Niba ukeneye kwihagarika kenshi, icyo nacyo ni ikintu cyo gusuzuma.

Ibimenyetso bizana na diyabete

Niba glukosuriya ari ikimenyetso cy'indwara nka Diyabete yo mu bwoko bwa 2 , ushobora guhura n'ibi bikurikira:

• Umunaniro: Niba uhora wumva unaniwe cyangwa usinziriye nta mpamvu.
• Kugabanya ibiro mu buryo butunguranye: Iyo ugabanyije ibiro mu buryo butunguranye udahinduye uburyo urya.
• Ihinduka ry'amaso: Ureba bwawe bushobora kuba butari bwumvikana neza.
• Guhindura ibara ry'uruhu aho uruhu ruhurira: Iyo uruhu ruhindutse umukara cyangwa umukara ahantu nko mu kwaha, imbere mu nkokora, no mu mipfundo y'ijosi.
• Ibikomere bifata igihe kirekire kugira ngo bikire: Ndetse n'igikomere gito cyangwa igikomere bifata igihe kirekire kugira ngo bikire.

Ni izihe mpamvu zitera glukosuriya?

Hari impamvu eshatu z'ingenzi zibitera:

Impamvu z'ingenzi

1. Umubiri wawe ntukora cyangwa ngo ukoreshe insuline neza: Insulini ni imisemburo ifasha mu kugenzura isukari mu mibiri yacu. Iyo habayeho ikibazo kuri ibi, isukari mu maraso iriyongera kandi isukari ishobora no gusohoka mu nkari.

2. Kurya isukari nyinshi cyane ku buryo umubiri wawe utabasha kuyitwara icyarimwe: Hari igihe iyo turiye ibiryo birimo isukari nyinshi icyarimwe, umubiri wacu ntushobora kuyitwara yose.

3. Urwaye impyiko: Iyo hari ikibazo cy'uko impyiko zisubira kwinjiza isukari mu mubiri, isukari izasohoka mu nkari.

Zimwe mu ndwara zitera glukosuriya

By'umwihariko, abantu bafite indwara zikurikira bashobora kurwara glycosuria:

• Diyabete yo mu bwoko bwa 1 n'ubwoko bwa 2: Muri ibi bihe, pancreas yawe ntikora insuline ihagije, cyangwa umubiri wawe ntukira insuline neza.
• Diyabete yo mu gihe cyo gutwita: Hari abantu bagira isukari nyinshi mu maraso (hyperglycemia) mu gihe batwite. Ibi bishobora gutera diyabete yo mu bwoko bwa 1 n'ubwoko bwa 2, ndetse na glycosuria.
• Fanconi Syndrome: Muri iyi ndwara, impyiko zawe zigorwa no kongera kwinjiza ibintu bimwe na bimwe, nka potasiyumu, fosifore, na glucose, mu mubiri wawe. Ahubwo, ibyo bintu bisohoka mu nkari zawe.
• Glycosuria y'impyiko: Iyi ni indwara umuntu avukana. Muri iyi ndwara, isukari isohoka mu nkari nubwo urugero rw'isukari mu maraso yawe ari rusanzwe. Iyi ndwara ishobora kubaho iyo hari impinduka zimwe na zimwe mu ngirabuzimafatizo zitera inenge mu mpyiko, cyane cyane izigira ingaruka ku mikorere y'uturemangingo tw'impyiko.

Tekereza nawe, hari igihe turya ibiryo n'ibinyobwa byinshi biryoshye mu birori, si byo se? Muri ibyo bihe, urugero rw'isukari mu nkari rushobora kwiyongera by'igihe gito. Ibi byitwa glycosuria y'ibiribwa . Niba nta yindi ndwara ufite igira ingaruka ku rugero rw'isukari mu maraso, ibi bizasubira uko bisanzwe mu masaha make. Rero nta kintu na kimwe cyo guhangayika.

Glucosuria ipimwa ite?

Abaganga bakoresha uburyo butandukanye kugira ngo bamenye iyi ndwara:

• Gupima inkari: Ibi bikubiyemo gufata icyitegererezo cy'inkari zawe ukacyohereza muri laboratwari. Agace k'ikizamini karashyirwa mu cyitegererezo hanyuma hagapimwa urugero rw'isukari mu nkari zawe. Biroroshye cyane.
• Gupima isukari mu maraso: Muganga azafata icyitegererezo cy'amaraso yawe akacyohereza muri laboratwari. Ibi bizagufasha kumenya niba ufite isukari nyinshi mu maraso (hyperglycemia) hamwe na glycosuria.
• Ikizamini cya A1C: Iki kizamini gikoresha kandi igitonyanga gito cy'amaraso mu rutoki rwawe cyangwa amaraso make mu mitsi. Iki kizamini kigaragaza ikigereranyo cy'isukari mu maraso yawe mu mezi atatu ashize.

Glucosuria ivurwa ite?

Uburyo bwo kuvura buterwa n'impamvu yateye iyo ndwara. Iyo indwara yavuwe, isukari yo mu nkari yawe igomba gusubira uko yari imeze.

Bitewe n'uko indwara yawe imeze, muganga wawe ashobora kukugira inama imwe cyangwa nyinshi muri izi zikurikira:

• Kurya imboga nyinshi n'ibinyampeke byuzuye: Fibre bitanga bifasha mu kugenzura isukari mu maraso.
• Kora imyitozo ngororamubiri myinshi: Ni byiza gukora imyitozo ngororamubiri ku munsi.
• Imiti isa na Metformin: Iyi ni imiti ikoreshwa mu kuvura diyabete. Ushobora kuba warumvise iyi miti ku mazina nka Glucophage®, Glumetza®.
• Insulini: Bamwe mu barwayi ba diyabete bagomba guterwa inshinge za insuline.
• Indi miti: Hariho kandi imiti mishya nka `Dulaglutide (Trulicity®)` cyangwa `Semaglutide (Ozempic®)`.

Bigenda bite iyo ngize glukosuriya?

Iyo ukurikije gahunda yo kuvurwa nk'uko muganga wawe abigusaba, ushobora kwitega ko indwara yawe izagenda neza. Mu by'ukuri, indwara nyinshi za glucosuria zizashira burundu iyo indwara yavuwe. Vugana na muganga wawe ku byerekeye gahunda yo kuvura ikubereye.

Hari igihe, niba ufite glucosuria udafite ikibazo gikomeye cy’ubuzima, ushobora kutagira icyo ukora. Ariko, ni ngombwa kujya kwa muganga mu gihe ugaragaje ibimenyetso bishya.

Ese glycosuria ishobora kwirindwa?

Ntabwo bishoboka buri gihe kwirinda ibi, cyane cyane iyo biterwa n'imiterere y'uturemangingo. Ariko, niba ufite glucosuria bitewe na Diyabete yo mu bwoko bwa 2 cyangwa Diyabete yo mu gihe cyo gutwita, hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo kurwara. Iyo wowe na muganga wawe mumaze kubona uburyo bwo kugenzura ikibazo cy’inyuma, isukari yo mu nkari yawe igomba gusubira uko isanzwe.

Ni ibihe biribwa tugomba kurya?

Ibi biribwa ntibizongera urugero rw'isukari mu maraso kandi bishobora kugabanya ibyago byo kurwara glycosuria:

• Imboga z'imboga: Ibintu nk'imboga za epinari, kale, n'imboga za collard.
• Yawurute isanzwe, idasembuye.
• Ingano zaciwe mu byuma.
• Karori zuzuye: Ibintu nk'umuceri w'umukara, oatmeal, umugati w'ingano zose, na makaroni.

Ni ibihe bintu tugomba kwirinda kurya?

Niba ufite isukari nyinshi mu maraso na glikosuriya, ni byiza kugabanya ibiryo n'ibinyobwa bikurikira:

• Karubohidrati zera nk'umugati wera, umuceri wera, na makaroni zera.
• Imbuto zumye: Izi zifite isukari nyinshi.
• Ibiribwa byatunganyijwe: Ibintu nk'ibinyampeke biryoshye bya mu gitondo n'utuntu duto dupakiye.
• Inyama zatunganyijwe: Ibintu nk'inyama y'ingurube, bacon, sosiso.
• Ibiribwa birimo isukari nyinshi: Ibiryo biryoshye nka keke, ibisuguti, na bombo.

Ni ryari ugomba kujya kwa muganga?

Bwira muganga niba wumva ikintu nk'iki:

• Ibimenyetso bya glucosuria, nko kunanirwa, kugira inyota nyinshi, no kwihagarika kenshi, biragaragara.
• Niba urwaye diyabete kandi ukabona impinduka zitunguranye mu bimenyetso byawe.

Ni ryari ugomba kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Ibimenyetso bya glukosuriya ntibikunze kugaragara. Kandi ntibishoboka kumenya neza umubare w'isukari iri mu nkari zawe utipimishije inkari. Ariko, ibimenyetso by'isukari nyinshi mu maraso (hyperglycemia) biroroshye kubimenya. Kandi bishobora kugaragaza ikibazo gikomeye kurushaho .

Niba ufite kimwe muri ibi bimenyetso, hamagara 1990 ako kanya cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe:

• Niba urugero rw'isukari mu maraso yawe ruri hejuru ya 250 mg/dL. (Ushobora kugura imashini ipima isukari mu maraso muri farumasi iyo ari yo yose.)
• Niba ufite ububabare bukomeye mu nda.
• Niba ufite ikibazo cyo kuguma uri maso.
• Niba uruhu rwumye.
• Niba umutima utera vuba.
• Niba guhumeka vuba.

Ese ni ibisanzwe ku bantu barwaye diyabete kugira glukosuriya?

Glycosuria ishobora kuba ikimenyetso cya diyabete idavuwe cyangwa idagenzurwa neza. Ariko, iyo umaze kubona uburyo bwo kugenzura urugero rw'isukari mu maraso yawe, ibimenyetso bya glucosuria bigomba kurangira.

Glucosuria ubwayo si ikintu cyo guhangayikishwa na cyo. Ariko, iyo ibayeho hamwe n'isukari nyinshi mu maraso, ishobora kuba ikimenyetso cy'uko ufite indi ndwara ikeneye kuvurwa. Niba ibizamini byerekanye ko isukari yo mu nkari yawe iri hejuru, vugana na muganga wawe icyo wakora nyuma yaho n'uburyo wagabanya ibimenyetso byawe. Iyo indwara imaze kuvurwa, isukari yo mu nkari yawe igomba gusubira uko isanzwe.

Ingingo zimwe na zimwe z'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Glycosuria ni ukuba hari isukari nyinshi cyane (glucose) mu nkari.
• Hari impamvu nyinshi zishobora kubitera. Ibintu nka diyabete, ibibazo by'impyiko, rimwe na rimwe kurya karubohidrati nyinshi icyarimwe.
• Ibimenyetso ntibigaragara kimwe kuri buri wese. Shaka ibintu nko kugira inyota kenshi, kwihagarika kenshi, no kunanirwa.
• Ntugahangayike. Irashobora gusuzumwa, kandi akenshi igakira binyuze mu kuvura impamvu nyamukuru.
• Niba ufite gushidikanya cyangwa ibimenyetso, menya neza ko wagiye kwa muganga. Hanyuma ushobora kubona inama n'ubuvuzi bikwiye.
• Gukomeza indyo yuzuye no kugira ubuzima bwiza bifasha mu kwirinda indwara nyinshi.

Wibuke ko ari wowe ugomba kumenya ubuzima bwawe cyane. Niba ufite ikibazo, baza, umenye, kandi uhabwe ubuvuzi. Hanyuma ushobora gukomeza kugira ubuzima bwiza!

Glycosuria, isukari mu nkari, diyabete, indwara y'impyiko , hyperglycemia, ibimenyetso, ubuzima